Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,809.64 / $5,075.47 / $7,930.44	Facility		$2,809.64	$5,075.47	$7,930.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,622.31 / $5,075.47 / $7,817.15	Professional		$4,622.31	$5,075.47	$7,817.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.47 / $1,868.47 / $1,868.47	Facility		$1,868.47	$1,868.47	$1,868.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,240.15 / $3,240.15 / $3,240.15	Facility		$3,240.15	$3,240.15	$3,240.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $2,177.91	Professional		$676.37	$676.37	$2,177.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,367.30 / $2,502.57 / $2,705.48	Facility		$2,367.30	$2,502.57	$2,705.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $1,521.83 / $1,521.83	Professional		$608.73	$1,521.83	$1,521.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,868.47 / $2,502.57 / $3,240.15	Facility		$1,868.47	$2,502.57	$3,240.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,860.02 / $1,860.02 / $1,860.02	Professional		$1,860.02	$1,860.02	$1,860.02
United Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $1,352.74 / $2,040.75	Professional		$676.37	$1,352.74	$2,040.75